You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities
- Provide Complex Care Management for Idaho members through close communication by phone
- Support members with condition education, medication reviews and connections to covered benefits, community resources and long-term services and supports, when applicable
- Assist members with the transition from a care facility back to their home
- Support NCQA Care Management requirements through UHC's Care Management program, including assessment, care planning, member outreach, coordination, monitoring and documentation
- Collaborate with each member's assigned Care Coordinator to align outreach, care plan activities, service coordination, follow-up needs and escalation pathways
- Meet Idaho-specific contractual requirements related to the delivery of care management and member-centered coordination
- Support Idaho health plan in obtaining NCQA certification
Required Qualifications
- Current, unrestricted RN in the applicant's state of residence
- 2+ years clinical experience in a hospital, acute care, home health/hospice, direct care or case management
- 1+ years of experience directly working with individuals with special healthcare needs
- Intermediate level of proficiency with computer/typing to enter/retrieve data in electronic clinical records; experience with email, internet research, use of online calendars and other software applications
- Access to high-speed internet from home
- Ability to support Idaho members while working remotely from anywhere within the U.S.; Idaho residency is not required
Preferred Qualifications
- Bachelor's degree
- Certification in Case Management (CCM)
- 2+ years of clinical experience in a behavioral health setting
- Case Management experience
- Home care/field-based case management experience
- Medicaid, Medicare, Managed Care experience
- Experience with vulnerable subpopulations include children and youth with special health care needs, adults with serious mental illness, members with substance use disorders and members with other complex or multiple chronic conditions
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The hourly pay for this role will range from $29 - $52 per hour based on full-time employment.